Triple Phase Response of Transient Hyponatremia or Secondary Adrenal Insufficiency? A Case Report
Journal Title: Advances in Diabetes & Endocrinology - Year 2016, Vol 1, Issue 1
Abstract
Hyponatremiais common in neurosurgical patients especially after pituitary surgery. It is the most common electrolyte abnormalityencountered in general hospital admissions. Diagnosis of the underlying cause can be challenging. It has serious clinical sequelaeif not diagnosed promptly, and can be fatal. Hyponatremia can result from severe hypothyroidism and secondary adrenal insufficiency. In this report, we describe a case of fluctuating sodium level in a middle aged male resembling triple phase response of transient hyponatremia. However, we suggest another diagnosis of hyponatremia due to secondary adrenal insufficiency followed by unmasking of underlying CDI by glucocorticoid replacement after resection of a large nonfunctioning pituitary macroadenoma.
Authors and Affiliations
Majid H Alabbood
Keywords
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- EP ID EP246889
- DOI 10.13188/2475-5591.1000003
- Views 123
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